ABE Visiting Scholar / J-1 Visa Request Form

ABE Visiting Scholar / J-1 Visa Request Form
Name of Faculty Sponsor*
Supervisor UFID Number*
Alternate Supervisor UFID (if Applicable)
Email*
Name of Visitor*
Visitor Email*
example@example.com
Visitor Date of Birth*

MonthDayYear
Date
Visitor Permanent Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Description of Duties (2-4 sentences)
Start and End Dates*
Country of Citizenship*
Does the visitor currently reside in the United States of America? *
What country does the scholar currently reside? *
Current Position Title *
Current Institution/Entity*
International Visitor Type*

Short-Term Scholar (Max Duration 6 months; An individual engaged in conducting research, observing, consulting, teaching, training, or lecturing for a short-term program.)Research Scholar (Max Duration 5 years: An individual primarily engaged in conducting research, observing, or consulting in connection with a research program.)Student Intern (Max Duration 12 months; An individual currently pursuing a degree at their home institution who is seeking to complete a required internship as part of the current degree requirements)Professor (Max Duration 5 years, An individual primarily engaged in teaching, lecturing, observing, or consulting)
UF Position Title (if funded and employed by UF)
Funding Source*

Foreign Government/UniversityForeign Private SponsorInternational OrganizationPersonal or FamilyU.S. College/University other than UFU.S. Current EmploymentU.S. GovernmentUF Project or DepartmentNo Funding/VolunteerOther
If other please specify
Description of funding *
Rate of Pay (Salary or Hourly) *
FTE or hours per week anticipated for this appointment*
Will the visitor have involvement in any research (Sponsored or Non-Sponsored)*

YesNo
Type of Research*

UF Sponsored ResearchUF Internally Funded ResearchOther Research
Research Project Numbers (Please provide the UFIRST/Peoplesoft project number(s) of the Sponsored Research Projects in which the visitor will be involved, whether they are funded directly from the project or not)*
Does the Sponsoring faculty member have a Technology Control Plan? "A Technology Control Plan (TCP) is an internal document between UF RISC’s Export Control Team and a researcher or PI, designed to lay out the plan to appropriately comply with export control regulations and contract terms related to a specific research project or export controlled article."*

YesNo
What is the Project Number associated with the Technology Control Plan? *
Will the visitor utilize UF Laboratory space? (please provide information about the lab space (e.g. Building/Room Number ect.) *
Please upload a copy of the Visitors complete CV*

Cancelof
Please upload the Research Abstract (if available)

Cancelof
Please upload any available Financial Support Documentation

Cancelof

Please provide a ChartField or account to pay the FedEx WayBill. This is to mail out the DS-2019 Form *
Will this visitor have a Bench Fee?

NoYes (Once RISC approval is received this will need to be routed to UFIRST as well)
Will you as the faculty sponsor be covering the cost of the visitors Gator1 Card (This is a $15 cost either paid for by the sponsoring faculty or the visitor)*

YesNo
Please provide a ChartField or Account to pay for the Gator1 Card. *
Will the visiting scholar need to be provided a desk to work at in an ABE assigned Shared Office?*

Yes (A seat is not guarenteed, this will be subject to availability)No (They will be provided a seat in faculty lab or be working remotely)
A CIP Code is required to submit any DS-2019 request. This code should best reflect the scholars visit. To find a CIP code for this scholar you can visit https://nces.ed.gov/ipeds/cipcode/browse.aspx?y=55
Please provide a CIP Code (visit the above link to find the best code)*

Proof of English Proficiency
Applicable to ALL categories - English proficiency is waived if the exchange visitor applicant is a citizen of an exempt country. Click here for the list of exempt countries.

Citizen of a non-exempt country must submit one of the following:
- If the exchange visitor applicant graduated from an institution where English is the primary language of instruction, please submit official transcripts, diploma supplements, academic evaluations, or diploma. If the institution is not located in an exempt country (see list above), the document must indicate that the language of instruction was English.
- Official test of English language proficiency, taken within the last two years, with scores as follows:
  - International English Language Testing System - IELTS: 5.5 overall
  - Test of English as a Foreign Language internet-based test - TOEFL iBT: 69
  - Pearson Tests of English - PTE: 44
  - Common European Framework - CEFR: B1
- A third-party English verification through English3 will be an acceptable option with a minimum score of 3.0*. The exchange visitor applicant will conduct this process after the department submits the request and the exchange visitor logs in to the EVS platform. An additional fee of USD 99 will apply and is the responsibility of the exchange visitor applicant (additional registration fees may apply for registration in China). Test results are received by the EVS online platform within 2-5 days. Certificates with a score of 3.0 or higher may be used again for future UF visits for up to 4 years.
I acknowledge that if the scholar is unable to provide one of the items listed above as their English Verification, a J-1 program will not be issued and we will not be able to host the visiting scholar.*

NoYes
Should be Empty:

ABE Visiting Scholar / J-1 Visa Request Form

Proof of English Proficiency